Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.08 / $25.42 / $42.33	Facility		$14.08	$25.42	$42.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $11.37 / $17.94	Professional		$8.63	$11.37	$17.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $23.50 / $29.38	Professional		$14.87	$23.50	$29.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $16.98 / $199.56	Professional		$13.07	$16.98	$199.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.42 / $16.89 / $33.00	Facility		$12.42	$16.89	$33.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $15.70 / $43.69	Professional		$8.85	$15.70	$43.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.75 / $21.79 / $28.64	Facility		$13.75	$21.79	$28.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $23.15 / $28.64	Professional		$13.75	$23.15	$28.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $13.07 / $23.33	Professional		$12.72	$13.07	$23.33
United Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $13.07 / $28.49	Professional		$8.69	$13.07	$28.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $13.07 / $13.07	Professional		$13.07	$13.07	$13.07